What are the Symptoms of Twins in First Trimester?

During the first trimester of pregnancy, symptoms of carrying twins (or multiple gestation) may differ from those of a singleton pregnancy. Common signs and symptoms of twins during the first trimester include:

  1. Severe Morning Sickness (Hyperemesis Gravidarum): Intense nausea and vomiting beyond the typical morning sickness experienced in singleton pregnancies.
  2. Higher hCG Levels: Elevated levels of human chorionic gonadotropin (hCG), a hormone produced during pregnancy, which may be detected through a blood test.
  3. Rapid Weight Gain: Quicker and more noticeable weight gain compared to a singleton pregnancy due to the additional weight of carrying multiple fetuses.
  4. Larger Abdominal Size: Abdominal bloating and a larger uterus size compared to a singleton pregnancy at the same gestational age.
  5. Fatigue and Increased Exhaustion: Greater fatigue and exhaustion due to the increased demands on the body from carrying more than one fetus.
  6. Frequent Urination: Increased pressure on the bladder from a larger uterus, causing more frequent urination.
  7. Early Fetal Movement Sensations: Feeling fetal movements earlier than in a singleton pregnancy, usually due to more than one fetus moving.
  8. Early Detection of Fetal Heartbeats: Identifying multiple fetal heartbeats during early ultrasounds, typically performed in the first trimester.
  9. Elevated Levels of Pregnancy Hormones: Higher levels of certain pregnancy hormones like progesterone and estrogen.
  10. Abnormally High Levels of Certain Proteins: Elevated levels of specific proteins, such as alpha-fetoprotein, associated with a multiple pregnancy.

It’s important to note that these symptoms are not definitive proof of carrying twins, and an ultrasound is the most accurate way to confirm a multiple pregnancy. If you suspect you are carrying twins or have concerns about your pregnancy, it’s essential to consult with a healthcare professional for proper evaluation and prenatal care.